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Brief Title: Radiation Post-CAR T in Refractory Lymphoma
Official Title: Radiation Therapy To Enhance CAR T Efficacy Early in Post-CAR T Cell Therapy Refractory Lymphoma: A Pilot Study
Study ID: NCT04473937
Brief Summary: This study is evaluating the safety and efficacy of using radiotherapy in participants who have refractory lymphoma shortly after receiving CAR T cell therapy (axicel or tisacel).
Detailed Description: This research study is a Pilot Study, which is the first time investigators are examining this intervention after administration of CAR T cell therapy. This research study looks to systematically investigate the safety and efficacy of radiotherapy following CAR T cell therapy (axicel or tisacel) in refractory lymphoma. CAR T cell therapy involves genetically modifying T cells to target tumor cells for death. Radiotherapy is a standard treatment offered with refractory lymphoma and uses high-energy x rays, or particles, to destroy or damage cancer cells. Few have received CAR T cell therapy prior to radiation therapy and this study aims to gather more information on radiotherapy following CAR T cell therapy as a treatment option and its potential to improve participants immune system's response to cancer cells as well as its interaction with CAR T cell therapy to better treat refractory lymphoma. The research study procedures include screening for eligibility, enrollment, biopsy following radiation, post-treatment period, and long-term follow-up. * Participants will receive radiotherapy at a dose and schedule determined by the study doctor. * Participants will be followed for up to 24 months after completion of study treatment. It is expected that about 20 people will take part in this research study.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Massachusetts General Hospital Cancer Center, Boston, Massachusetts, United States
Name: Chirayu G Patel, MD, MPH
Affiliation: Massachusetts General Hospital
Role: PRINCIPAL_INVESTIGATOR